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不同损伤程度的亚急性脑卒中幸存者在自愿性手臂伸展运动过程中肌肉协同作用的改变

Alterations of Muscle Synergies During Voluntary Arm Reaching Movement in Subacute Stroke Survivors at Different Levels of Impairment.

作者信息

Pan Bingyu, Sun Yingfei, Xie Bin, Huang Zhipei, Wu Jiankang, Hou Jiateng, Liu Yijun, Huang Zhen, Zhang Zhiqiang

机构信息

Sensor Network and Application Research Center, School of Electronic, Electrical and Communication Engineering, University of Chinese Academy of Sciences, Beijing, China.

Rehabilitation Department, Peking University First Hospital, Beijing, China.

出版信息

Front Comput Neurosci. 2018 Aug 21;12:69. doi: 10.3389/fncom.2018.00069. eCollection 2018.

Abstract

Motor system uses muscle synergies as a modular organization to simplify the control of movements. Motor cortical impairments, such as stroke and spinal cord injuries, disrupt the orchestration of the muscle synergies and result in abnormal movements. In this paper, the alterations of muscle synergies in subacute stroke survivors were examined during the voluntary reaching movement. We collected electromyographic (EMG) data from 35 stroke survivors, ranging from Brunnstrom Stage III to VI, and 25 age-matched control subjects. Muscle synergies were extracted from the activity of 7 upper-limb muscles via nonnegative matrix factorization under the criterion of 95% variance accounted for. By comparing the structure of muscle synergies and the similarity of activation coefficients across groups, we can validate the increasing activation of pectoralis major muscle and the decreasing activation of elbow extensor of triceps in stroke groups. Furthermore, the similarity of muscle synergies was significantly correlated with the Brunnstrom Stage ( = 0.52, < 0.01). The synergies of stroke survivors at Brunnstrom Stage IV-III gradually diverged from those of control group, but the activation coefficients remained the same after stroke, irrespective of the recovery level.

摘要

运动系统将肌肉协同作用作为一种模块化组织来简化运动控制。运动皮层损伤,如中风和脊髓损伤,会破坏肌肉协同作用的协调,导致异常运动。在本文中,我们研究了亚急性中风幸存者在自愿伸手动作过程中肌肉协同作用的变化。我们收集了35名中风幸存者(布鲁恩斯特伦分期从III期到VI期)和25名年龄匹配的对照受试者的肌电图(EMG)数据。通过非负矩阵分解,在解释95%方差的标准下,从7块上肢肌肉的活动中提取肌肉协同作用。通过比较肌肉协同作用的结构和各组激活系数的相似性,我们可以验证中风组中胸大肌激活增加和肱三头肌肘伸肌激活减少的情况。此外,肌肉协同作用的相似性与布鲁恩斯特伦分期显著相关(r = 0.52,p < 0.01)。布鲁恩斯特伦IV - III期的中风幸存者的协同作用逐渐与对照组的协同作用不同,但中风后激活系数保持不变,与恢复水平无关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c85a/6111238/004aed15e53c/fncom-12-00069-g0001.jpg

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